Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fontem Derrick CHI

Individual provider Community Health Worker · NPI 1215773197

Fontem Derrick CHI is a Community Health Worker in College Park, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4827 Indian Ln
College Park, MD 20740-1661
Phone: (240) 549-0209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1215773197
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address4827 Indian Ln, College Park, MD 20740-1661

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